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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 337:1904-1912 December 25, 1997 Number 26
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Case 40-1997— A 23-Year-Old Man with a Mediastinal Embryonal Carcinoma and Hematologic Abnormalities
Marc B. Garnick, and Judith A. Ferry

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Presentation of Case

A 23-year-old man was admitted to the hospital for treatment of a mediastinal tumor.

The patient had been well until five months earlier, when a nonproductive cough developed. Antibiotic treatment resulted in only slight improvement. Nine weeks before admission, he had increasing dyspnea, with night sweats. A radiograph of the chest showed an anterior mediastinal mass; he was referred to this hospital.

A physical examination revealed evidence of the superior vena cava syndrome.

Laboratory tests were performed (Table 1 and Table 2). Radiographs of the chest (Figure 1) showed a lobulated anterior mediastinal mass obscuring the . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnoses

Dr. Marc B. Garnick's Diagnoses

Pathological Discussion

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